| NPI | 1326093774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 66585) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD22152) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00040793) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD22152) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-12-27 |